Average Medicaid Office Visit Payments in Charleston, IL: $47.48
Avg. Paid
$47.48
Range
$0.00 – $79.75
Total Claims
96,128
Providers
26
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in Charleston, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kathleen A. Hecksel
700 W Lincoln Ave Ste 200 |
$70.89 | 18,367 | 14,238 |
|
Southern Illinois Healthcare Foundation, Inc.
626 W Lincoln Ave |
$0.00 | 11,086 | 8,785 |
|
Mark Emenecker
116 W Buchanan Ave |
$41.09 | 6,256 | 5,361 |
|
Joan V Alvarado
116 W Buchanan Ave |
$50.95 | 5,992 | 5,006 |
|
Annmarie S Mcdonagh
700 W Lincoln Ave Ste 200 |
$68.45 | 5,196 | 4,107 |
|
Lisa Price
2040 Lincoln Ave Ste 100 |
$47.27 | 4,505 | 4,026 |
|
David W Stoltz
13700 Old State Rd |
$48.56 | 4,489 | 4,079 |
|
Michele Kinder
2040 Lincoln Ave Ste 101 |
$52.11 | 4,261 | 3,719 |
|
Erica Davis Perrino
116 W Buchanan Ave |
$53.51 | 4,156 | 3,052 |
|
Kristen Marie Walk
2040 Lincoln Ave Ste 100 |
$47.86 | 3,814 | 3,615 |
|
Sanjay K Garg
116 W Buchanan Ave |
$46.73 | 3,163 | 2,802 |
|
Alexis S Levitt
2040 Lincoln Ave Ste 100 |
$49.07 | 2,864 | 2,728 |
|
Veronica N Wright
700 W Lincoln Ave |
$59.19 | 2,795 | 2,466 |
|
Sandra D Frey
2040 Lincoln Ave Ste 100 |
$46.56 | 2,743 | 2,588 |
|
Morgan Elizabeth Helbig
2040 Lincoln Ave Ste 100 |
$39.72 | 2,451 | 2,369 |
|
Jeffrey K Mckenna
100 Deerpath |
$23.96 | 2,451 | 2,263 |
|
County Of Coles
753 Windsor Rd |
$12.03 | 2,392 | 2,032 |
|
Jennifer R Sledge
700 W Lincoln Ave Ste 200 |
$79.75 | 2,202 | 2,070 |
|
Noelle R. Cope
21 Stonegate Dr |
$66.27 | 1,803 | 1,643 |
|
Mackenzie Buzzard
2040 Lincoln Ave Ste 100 |
$48.98 | 1,708 | 1,630 |
|
Seema Garg
116 W Buchanan Ave |
$46.76 | 1,026 | 923 |
|
Melissa K Kenter
2040 Lincoln Ave Ste 100 |
$50.39 | 891 | 775 |
|
Michael Benson
2915 Oakwood Dr |
$37.57 | 675 | 623 |
|
Valerie Jackson
100 Deerpath |
$14.92 | 556 | 436 |
|
Renu Bajaj
901 W Lincoln Ave |
$66.42 | 164 | 147 |
|
Cornelius Edward Whalen
925 18Th St |
$32.68 | 122 | 111 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in Charleston, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Charleston, IL is $47.48 per claim, based on 96,128 claims from 26 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in Charleston, IL?
There are 26 Medicaid providers offering Office Visit related services in Charleston, IL according to public payment data.
What is the price range for Office Visit in Charleston, IL?
Medicaid reimbursement for Office Visit in Charleston, IL ranges from $0.00 to $79.75 per claim, with an average of $47.48. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Charleston, IL
Speech Therapy
Avg $18.68
50,541 claims
Physical Therapy
Avg $8.61
38,280 claims
Psychiatric Evaluation
Avg $61.20
26,442 claims
Ambulance Transport
Avg $229.63
23,946 claims
Home Health Visit
Avg $151.09
15,778 claims
X-Ray
Avg $6.24
12,968 claims
Substance Abuse Treatment
Avg $55.20
12,817 claims
Vaccines & Immunizations
Avg $11.39
6,654 claims